Developmental Dysplasia of the Hip
Tracking Pixel
presents
Wheeless' Textbook of Orthopaedics

Radiology of the Hand and Wrist



- Findings:
      - Carpal height & Carpal height ratio:
      - Distal Radius Fracture:
      - Radial Length & Width:
      - Scapholunate Dislocation
      - Scaphoid Fracture:

- Types of Radiographs:
      - Arthrography of the Wrist
      - AP View
      - Carpal Tunnel View
      - Clenched Fist PA
      - Lateral View
      - PA View
      - Pronated Olblique - demonstrates adequately STT joint;
      - Reverse Oblique - 15 deg
      - Supinated Oblique
      - Ulnar Variance:
      - Zero Rotation Views


- AP View is prefered for Wrist Pathology:
      - AP has dorsum of hand touching film, w/ x-ray beam passing palmar to dorsal, whereas in PA film,
            palmar surface lies flat on film & x-ray beam passes from the dorsal to palmar surface;
      - palmar surfaces of most carpal bones are narrower, & these bones are best profiled in AP projection because
            of the alignment of the peri-articular cortices with the diverging incident x-ray beam;
      - position of ulnar styloid will determine which way film was obtained;
            - in standard PA view, ulnar styloid is peripheral;
            - in standard AP View, ulnar styloid points centrally;




Problem Disorders of the Wrist--Symposium: The Vascularity of the Wrist: Identification of *Arterial* Patterns at Risk.

An alternative method for determination of the carpal height ratio.

Year Book: Roentgenographic Examination of the Wrist: A Systematic Study of the Normal, Lax and Injured Wrist.   Part 1: The Standard and Positional Views.
    Schernberg-F.   1992 Year Book of Hand Surgery. Article 9-6.   Original Article: J Hand Surg. 1990. 15-B. pp 210-219.

Year Book: Roentgenographic Examination of the Wrist: A Systematic Study of the Normal, Lax and Injured Wrist. Part 1: The Standard and Positional Views.

Year Book: Roentgenographic Examination of the Wrist: A Systematic Study of the Normal, Lax and Injured Wrist. Part 2: Stress Views.

Year Book: Roentgenographic Examination of the Wrist: A Systematic Study of the Normal, Lax and Injured Wrist.   Part 2: Stress Views.
    Schernberg-F.   1992 Year Book of Hand Surgery. Article 9-7.   Original Article: J Hand Surg. 1990. 15-B. pp 220-228.











Original Text by Clifford R. Wheeless, III, MD.